MEDICARE: MS. FAY MARSHELLE WALLER FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	71016908A	IN

General Provider Information

NPI Number	:	1750270500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. FAY MARSHELLE WALLER FNP-BC

Provider Business Mailing Address
First Line	:	9019 OVERLOOK BLVD STE C1
Second Line	:
City	:	BRENTWOOD
State	:	TN
Zip	:	37027-2736
Country	:	US
Telephone Number	:	615-274-9767
Fax Number	:	833-450-4801

Provider Business Practice Location Address
First Line	:	5425 ROSSLYN AVE
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-3323
Country	:	US
Telephone Number	:	615-274-9767
Fax Number	:	833-450-4801

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/28/2025
Last Update Date	:	03/02/2026

Similar Medicare Providers

1811078363 — DR. JOHN WEBSTER TERHUNE D.C.
Practice Location Address:

3323 W 96TH ST
INDIANAPOLIS, IN
46268-1106

Practice Phone: 317-872-2989
Practice Fax: 317-872-3363

1225613953 — TIARA HERRING NP
Practice Location Address:

6101 N KEYSTONE AVE STE 100
INDIANAPOLIS, IN
46220-2499

Practice Phone: 219-315-6581
Practice Fax:

1104772680 — MARIANNA JACKSON
Practice Location Address:

6060 N COLLEGE AVE
INDIANAPOLIS, IN
46220-1907

Practice Phone: 317-815-5501
Practice Fax: 317-815-3861

1730035213 — HANNAH TRIBBETS
Practice Location Address:

6060 N COLLEGE AVE
INDIANAPOLIS, IN
46220-1907

Practice Phone: 317-815-5501
Practice Fax: 317-815-3861

1093661571 — CHLOE LEWIS
Practice Location Address:

6060 N COLLEGE AVE
INDIANAPOLIS, IN
46220-1907

Practice Phone: 317-815-5501
Practice Fax: 317-815-3861

1821093162 — TENDERCARE HOME HEALTH SERVICES, INC.
Practice Location Address:

6308 RUCKER RD , STE D
INDIANAPOLIS, IN
46220-4881

Practice Phone: 317-251-0700
Practice Fax: 317-251-7440

Directions to “ MS. FAY MARSHELLE WALLER FNP-BC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.